What should I do if I have something wrong with my eyes? Can you do without any treatment?
summary
Cockfighting eye is the pupil in the middle of the eye. Naturally or artificially, it is close to the middle. It looks like two cockfighting frames, so it is called cockfighting eye, also called opposite eye. Now let's talk about what to do if there is something wrong.
What should I do if I have something wrong with my eyes? Can you do without any treatment?
First: for asymptomatic esotropia, because of the children's strong ability of fusion and convergence, no treatment can be given. However, some children with esotropia have symptoms of visual fatigue such as eye swelling, orbital pain and headache after close vision, which can be treated appropriately. The patients with hyperopia should be equipped with appropriate glasses. The patients with exotropia can be trained with convergence to strengthen the strength of the internal rotator muscles of both eyes and overcome exotropia. If the effect is not good, they can also wear triangular glasses. For exotropia with a near view of more than 10 degrees (20 Δ), surgical treatment can be considered.
Second: according to different causes of strabismus, different treatment methods are adopted: Although congenital esotropia in concomitant strabismus has nothing to do with eye regulation, it has a great impact on the development of binocular monocular function, and the best treatment is surgical correction at the early stage of visual function development at 2 years old. Esotropia after 2-3 years old is mostly related to hyperopia caused by excessive accommodation. This kind of strabismus should be fully dilated after optometry. Those with hyperopia should be equipped with enough glasses. They should wear glasses for 3-6 months to correct or partially correct the strabismus before surgery for the remaining esotropia. If there is no change of esotropia after wearing the mirror, only surgery is needed. If the degree of hyperopia is very high, the degree of wearing glasses can be reduced by surgical correction of strabismus.
Third: from the close relationship between accommodation and strabismus, hyperopia is easy to cause esotropia, and myopia is easy to cause exotropia. In addition, good visual acuity is the basis of normal retinal correspondence and binocular fixation. Different vision can also cause strabismus and amblyopia. It can be seen that the relationship between strabismus, amblyopia and refractive abnormality is very close, so mydriasis optometry is the first step of children's strabismus examination. Wearing glasses to correct ametropia is an important method to treat children's strabismus. Strabismus children with ametropia, especially esotropia children aged 2-3 years old with hyperopia, should be treated with spectacles, because the treatment with hyperopia correction spectacles is particularly effective at this time, which can correct the excessive adjustment of the eye and restore the convergence to normal. Many children only need to wear spectacles for a period of time, and the esotropia can be completely corrected.
matters needing attention
In clinic, except for the accommodative esotropia caused by hyperopia and irradiance, wearing glasses can correct all strabismus, other kinds of strabismus basically need surgical correction. After strabismus surgery, to obtain a certain degree of fusion function will help to maintain the eyeball alignment. Eyeball alignment can make some patients return to normal or a certain degree of stereopsis, especially in patients with intermittent or recent diseases. Therefore, no matter what kind of strabismus, if the conservative method and training therapy are ineffective, if the operation can restore the normal and coordinated function of the eye muscle, the strabismus will not only change to the normal position when it is in situ, but also move synchronously and consistently in all directions, and the operation can be performed for the patients with binocular single vision, stereopsis and no adverse complications.
